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| Analysis of influencing factors of hospitalization expenses in patients with chronic rhinosinusitis surgery based on clinical pathway |
| Guo Shunping1, Ye Shiyue1, Zheng Zhenquan2, Li Yueping2 |
1 Medical Department, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China;
2 Health Research Institute, Fujian Medical University, Fuzhou 350122, China |
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Abstract Objective To explore the composition and influencing factors of hospitalization expenses in patients with chronic rhinosinusitis surgery, and to provide reference for the control of disease expenses in medical institutions and the formulation of disease payment standards by medical insurance.Methods The medical records of patients with chronic rhinosinusitis admitted to a tertiary hospital in Fujian Province from January 1, 2018 to December 31, 2020 were collected, and descriptive analysis and multiple linear regression analysis were used to analyze the structure of hospitalization expenses and its influencing factors.Results In terms of the structure of hospitalization expenses, operation cost, consumables cost, and drug cost ranked the top three; the multiple linear regression results showed that anesthesia method was the primary factor affecting hospitalization cost, followed by the number and location of sinus surgery, and then the length of hospitalization, complications, age and year.Conclusion The hospitalization expenses of patients with chronic rhinosinusitis can be effectively reduced by selecting appropriate anesthesia methods, jointly controlling expenses by multiple departments, improving clinical pathways, and reasonably shortening the hospital stay.
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Received: 25 July 2022
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| ［1］周梦夏,孙作珩,查旭东,等.基质金属蛋白酶及抑制剂影响细胞外基质代谢参与慢性鼻-鼻窦炎组织重塑的机制研究［J］.中国耳鼻咽喉颅底外科杂志,2020,26(6):717-720.DOI:10.11798/j.issn.1007-1520.202006025.
［2］中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.中国慢性鼻窦炎诊断和治疗指南:2018［J］.中华耳鼻咽喉头颈外科杂志,2019,54(2):81-100.DOI:10.3760/cma.j.issn.1673-0860.2019.02.001.
［3］杨焕焕,方红,尤权杰,等.组织嗜酸粒细胞及鼻窦CT对慢性鼻-鼻窦炎伴鼻息肉术后复发的预测研究［J］.中华耳鼻咽喉头颈外科杂志,2018,53(11):842-DOI:10.3760/cma.j.issn.16730-860.2018.11.009.
［4］谢岱仪,王前,李超,等.甲状腺癌患者住院费用影响因素分析［J］.中国医疗保险,2018(1):46-50.DOI:10.19546/j.issn.1674-3830.2018.1.011.
［5］刘杰,口锁堂,汪听亚,等.腰椎间盘突出症患者住院费用影响因素分析［J］.中国卫生质量管理,2021,28(9):22-24.DOI:10.13912/j.cnki.chqm.2021.28.9.06.
［6］蒋淑敏,孙长青,张晓星,等.河南省某三甲医院乳腺癌手术患者住院费用影响因素分析［J］.郑州大学学报(医学版),2018,53(4):477-481.DOI:10.13705/j.issn.1671-6825.2017.11.119.
［7］王婷婷，于丽华，郎婧婧，等．基于结构方程模型的肺癌手术患者住院费用影响因素分析［J］．中国卫生经济，2019，38(6)：61-63．DOI:10.7664/CHE20190616. |
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